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Study of XL184 in Adults With Glioblastoma Multiforme

This study is currently recruiting participants.
Study NCT00704288.   Last updated on October 20, 2008.   Information provided by Exelixis

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Descriptive Information Fields
Brief Title  Study of XL184 in Adults With Glioblastoma Multiforme
Official Title  A Phase 2 Study of XL184 in Subjects With Progressive or Recurrent Glioblastoma Multiforme in First or Second Relapse
Brief Summary

The purpose of this study is to evaluate the 6-month progression-free survival rate of XL184 in subjects with recurrent or progressive glioblastoma multiforme. XL184 is a new chemical entity that inhibits VEGFR2, MET and RET, kinases implicated in tumor formation, growth and migration.

Detailed Description
Study Phase Phase II
Study Type  Interventional
Study Design  Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Primary Outcome Measure  To evaluate the 6-month progression-free survival rate of XL184 in subjects with recurrent or progressive glioblastoma multiforme [ Time Frame: Evaluated at approx. 6 months ] [ Designated as safety issue: No ]
Evaluate safety and tolerability of XL184 [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: Yes ]
Secondary Outcome Measure  Assess response rate, duration of response, and overall survival [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
Further characterize pharmacokinetics and pharmacodynamic effects of XL184 [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
Correlate pathway dysfunction of glioblastoma multiforme-relevant genes such as MET and relevant downstream signaling molecules with clinical outcome [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
Correlate changes in serial vascular MRI with clinical outcome and analyze tumor volumetrics based on MRI [ Time Frame: Assessed during periodic visits ] [ Designated as safety issue: No ]
Evaluate the steroid-sparing effect of XL184 [ Time Frame: Assessed periodically ] [ Designated as safety issue: No ]
Condition  Glioblastoma Multiforme
Intervention  Drug: XL184
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  46
Start Date  May 2008
Completion Date October 2009
Eligibility Criteria 

Inclusion Criteria:

  • The subject has radiographic evidence of progressive or recurrent GBM by MRI scan (performed within the past 14 days and while on a fixed or decreasing dose of steroids for at least 5 days), and in first or second relapse.
  • Subjects having undergone recent resection of recurrent or progressive tumor will be eligible as long as all of the following conditions apply: At least 2 weeks since surgery and the subject has recovered from the effects of surgery (residual disease following resection of recurrent tumor is not mandated for eligibility into the study. To best assess the extent of residual disease post-operatively, a baseline MRI should be done within 14 days before the first dose of XL184. If the steroid dose is increased between the date of imaging and registration, a new baseline MRI is required on a stable or decreasing steroid dose for at least 5 days).
  • The subject is at least 18 years old.
  • The subject has a KPS (Karnofsky Performance Scale) of ≥ 60%.
  • The subject is capable of understanding the protocol and has signed the informed consent document.
  • The subject has adequate organ and marrow function.
  • Sexually active subjects (male and female) must agree to use medically accepted methods of contraception during the course of the study and for 3 months following discontinuation of study drug.
  • Female subjects of childbearing potential must have a negative pregnancy test at enrollment.

Exclusion Criteria:

  • The subject has received anticancer therapy within 28 days of nitrosoureas or mitomycin C within 42 days, a small molecule kinase inhibitor or non-cytotoxic hormonal agent within 7 days or 5 half-lives of the drug or active metabolites, another investigational agent within 28 days, radiation therapy within 42 days of the first scheduled dose of XL184.
  • The subject has received more than two prior antitumor therapies, including initial treatment and treatment for one prior relapse.
  • The subject has evidence of acute intracranial or intratumoral hemorrhage either by MRI or computerized tomography (CT) scan.
  • The subject is unable to undergo MRI scan (eg, has pacemaker).
  • The subject has received enzyme-inducing anti-epileptic agents within 2 weeks before the first dose of XL184 (eg, carbamazepine, phenytoin, phenobarbital, primidone).
  • The subject has not recovered to National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v3.0 Grade ≤ 1 from adverse events (AEs) due to antineoplastic agents, investigational drugs, or other medications that were administered before study enrollment.
  • The subject is pregnant or breast-feeding.
  • The subject has an infection requiring systemic treatment.
  • The subject has a known allergy or hypersensitivity to any of the components of the XL184 formulation.
  • The subject has serious intercurrent illness, such as uncontrolled hypertension, unhealed wounds from recent surgery or cardiac arrhythmias or a recent history of significant disease such as either symptomatic congestive heart failure or unstable angina pectoris within the past 3 months or myocardial infarction within the past 6 months.
  • The subject has had another diagnosis of malignancy (unless nonmelanoma skin cancer, in situ carcinoma of the cervix, or a malignancy diagnosed > 5 years ago and has no evidence of disease for 5 years before screening for this study).
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers No
Contacts ††
Contact: Exelixis Contact Line     1-866-939-4041        
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00704288
Organization ID XL184-201
Secondary IDs ††
Study Sponsor  Exelixis
Collaborators ††
Investigators 
Information Provided By Exelixis
Verification Date October 2008
First Received Date  June 20, 2008
Last Updated Date October 20, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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